Faucher N, Ehrler S, Vin F, Dugré T
Hôpital Bichat-Claude Bernard, Paris, France.
J Wound Care. 2008 Apr;17(4):180-2, 184, 187. doi: 10.12968/jowc.2008.17.4.28840.
To evaluate the safety and performance of MedicelTulle Dressing (MTD) in subjects with chronic or acute wounds left to heal by secondary intention.
This 28-day, multi-centre, single-arm clinical study was conducted at seven sites in France. Thirty patients with a chronic (n = 20) or acute wound (n = 10) were treated with MTD and gauze as a secondary dressing. Study treatment lasted 28 days or until healing.
Mean baseline wound area was 14.8cm2. There were 103 clinic dressing changes and 220 home dressing changes. Seven adverse events were reported in five subjects, including one treatment-related adverse event of dry scab. No adherence was reported for 66% of clinic dressing changes and 53% of home dressing changes. No trauma was reported for 96% of clinic dressing changes. Mean reduction in wound size was 7.0cm2.
In this study, MTD demonstrated good safety results. Additional study is warranted to confirm the clinical utility of MTD in the management of chronic or acute wounds left to heal by secondary intention.
评估MedicelTulle敷料(MTD)在通过二期愈合的慢性或急性伤口患者中的安全性和性能。
这项为期28天的多中心单臂临床研究在法国的7个地点进行。30例患有慢性伤口(n = 20)或急性伤口(n = 10)的患者接受了MTD治疗,并使用纱布作为辅助敷料。研究治疗持续28天或直至伤口愈合。
平均基线伤口面积为14.8平方厘米。共进行了103次门诊换药和220次家庭换药。5名受试者报告了7起不良事件,其中包括1起与治疗相关的干性结痂不良事件。66%的门诊换药和53%的家庭换药未报告有粘连情况。96%的门诊换药未报告有创伤情况。伤口大小平均缩小了7.0平方厘米。
在本研究中,MTD显示出良好的安全性结果。有必要进行进一步研究以证实MTD在通过二期愈合的慢性或急性伤口管理中的临床效用。